Search › Illinois › 207V00000X
Bryson Whalen, M.D
NPI 1255727301 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2246 S State Route 157 Ste 100
Glen Carbon, IL 62034 - Phone
- (618) 288-9251
- Fax
- (618) 288-6900
- Organisation at this address
- Rodney L Bailey, Dmd, Pc
Fairview Heights Medical Group Sc
Shawnee Hills Oral & Maxillofacial SurgeryInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 6812 State Route 162 Ste 301, Maryville, IL
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Also registered as
- 390200000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois